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Resume Prof. Roberto Valcavi, MD

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Resume Prof. Roberto Valcavi, MD

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resume Prof. Roberto Valcavi, MD

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Prof.

Roberto Valcavi, MD Lampiran 2


CURRICULUM VITAE

Spesialis

Riwayat Pendidikan
Pendidikan Dokter :
Spesialis :
Fellowship :
Sub-spesialis :
Program Doktor :
Postdoc :

Organisasi



Kontak 

Alamat:

Publikasi Terbaru
Telp/Hp: - 



Email:

LinkedIn (bila ada):

Institusi:
Lampiran 3

RESUME TOPIK

Pemateri
Prof. Roberto Valcavi, MD

Judul
“Radiofrequency Ablation of Parathyroid Adenoma: A Novel Treatment Option for Primary
Hyperparathyroidism”
Pendahuluan
To present radiofrequency ablation (RFA) of parathyroid adenomas as a safe and effective
management strategy for primary hyperparathyroidism in patients who are not eligible for
surgery or those who do not want surgery.
Tujuan
RFA of parathyroid adenomas is a viable alternative to parathyroidectomy in patients who do
not meet the criteria for surgery or do not wish to undergo surgery.
Definisi (bila ada)
Radiofrequency ablation (RFA) is a technique that uses an electrode with high-frequency
alternating current to cause thermal injury and coagulative necrosis in a soft tissue.
Prevalensi/insidensi (bila ada)

Patomekanisme
Radiofrequency ablation (RFA) is a technique that uses an electrode with high-frequency
alternating current to cause thermal injury and coagulative necrosis in a soft tissue. It has been
used to ablate primary and metastatic tumors in the liver, lung, bone, and kidney, as well as in
cardiac conduction pathways. RFA has been used in Korea and Italy for the treatment of benign
thyroid nodules and more recently, has been gaining popularity in the U.S.
Pendekatan Diagnostik
The diagnosis of primary hyperparathyroidism was confirmed by laboratory investigations. A
bone density scan showed osteoporosis, which was an indication for the surgical treatment of
primary hyperparathyroidism. Ultrasonography of the neck was done to localize the parathyroid
adenoma, after which RFA was performed to shrink the adenoma. Laboratory investigations
were performed 10 days, 6 months, and 12 months after the procedure. A literature review was
also conducted, and other reports of primary hyperparathyroidism cases treated with RFA were
identified.

Pendekatan Tatalaksana
The parathyroid adenoma was again visualized in real time using ultrasound, 2% lidocaine was
used for local anesthesia. This was followed by hydrodissection to avoid damage to the
recurrent laryngeal nerve, a total of 5 boluses of 10 mL of D5W were injected during the course
of the ablation. Using the transisthmic approach, an 18-gauge RFA probe with a 0.5-cm active
tip was introduced into the adenoma, and ablation was started at 30 W of radiofrequency
power. A total of 35 W of energy was delivered, and the total active ablation time was 1 minute.
The patient tolerated the procedure well, and her vital signs remained within the normal range.
Her voice remained normal, and voice strength was checked by verbalization both during and
after the procedure. She was treated with enteric-coated ibuprofen for 3 days to minimize
posttreatment inflammation and pain.
Update/Isu Terkini
RFA of parathyroid adenomas is a viable alternative to parathyroidectomy for patients who do
not meet the criteria for surgery or those who do not wish to undergo surgery. Future reports
with long-term follow-up will be helpful in determining whether this procedure is as effective as
surgery with regard to the recurrence of PHPT. Randomized controlled trials comparing RFA to
surgery would be useful to determine if this procedure should be offered as a treatment option
in patients with hyperparathyroidism who are eligible for surgery.

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